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81. Nutrition in Chronic Liver Disease

Nutrition in Chronic Liver Disease EASL Clinical Practice Guidelines on nutrition in chronic liver disease q European Association for the Study of the Liver* Summary A frequentcomplication in livercirrhosis is malnutrition,which is associated with the progression of liver failure, and with a higher rate of complications including infections, hepatic encephalopathy and ascites. In recent years, the rising preva- lenceofobesityhasledtoanincreaseinthenumberofcirrhosis cases related to non (...) -alcoholic steatohepatitis. Malnutrition, obesity and sarcopenic obesity may worsen the prognosis of patientswithlivercirrhosisandlowertheirsurvival.Nutritional monitoring and intervention is therefore crucial in chronic liver disease. These Clinical Practice Guidelines review the present knowledge in the ?eld of nutrition in chronic liver disease and promote further research on this topic. Screening, assessment and principles of nutritional management are examined, with recommendations provided in speci

2018 European Association for the Study of the Liver

82. Nutritional evaluation of the neurologically impaired child

Nutritional evaluation of the neurologically impaired child Nutrition is of key importance in optimizing function and health in children with neurological impairment (NI). Challenges in quantifying individual needs and assessing nutritional status are barriers to determining the nutritional prescription. This practice point addresses common questions faced by clinicians caring for this population and uses available evidence to provide strategies to address these challenges. Keywords (...) : Assessment; Neurological impairment, Nutrition; Screening

2020 Canadian Paediatric Society

83. ASPEN Clinical Guidelines: Nutrition Support of Hospitalized Adult Patients With Obesity Full Text available with Trip Pro

ASPEN Clinical Guidelines: Nutrition Support of Hospitalized Adult Patients With Obesity A.S.P.E.N. Clinical Guidelines - Choban - 2013 - Journal of Parenteral and Enteral Nutrition - Wiley Online Library Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. Clinical Guideline Free Access A.S.P.E.N. Clinical Guidelines Nutrition Support of Hospitalized Adult Patients With Obesity Volume 39 Issue 8 Journal (...) of Parenteral and Enteral Nutrition pages: 993-993 First Published online: October 19, 2015 Mt Carmel Hospital, Central Ohio Surgical Associates, Columbus, OH, USA University of Tennessee Health Science Center, Memphis, TN, USA Department of Pharmacy, Mt Carmel West Hospital, Columbus, OH, USA Thomas Jefferson University Hospital, Philadelphia, PA, USA Corresponding Author E-mail address: University of Pennsylvania School of Nursing, Philadelphia, PA, USA Charlene Compher, PhD, RD, CNSD, LDN, FADA, FASPEN

2013 American Society for Parenteral and Enteral Nutrition

84. End of Life Care in Frailty: Nutrition

End of Life Care in Frailty: Nutrition End of Life Care in Frailty: Nutrition | British Geriatrics Society Toggle main menu visibility Search Search Search Resources (menu position rule) , Date Published: 12 May 2020 Last updated: 12 May 2020 The aim of this guidance series is to support clinicians and others to consider the needs of frail older people as they move towards the end of their lives and help them to provide high quality care. This chapter addresses nutritional needs at the end (...) for malnutrition and take action based on local NHS guidance which has been produced by or written in partnership with NHS dietitians. People living with moderate or severe frailty may be categorised as being in the last year of life, however they may not be imminently dying and therefore from a nutrition perspective should be treated in the same way as any other patient. This means that their nutritional status should continue to be monitored using a validated screening tool (e.g. or the ) and efforts should

2020 British Geriatrics Society

85. Pediatric Endoscopy in the Era of Coronavirus Disease 2019: A North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper

Pediatric Endoscopy in the Era of Coronavirus Disease 2019: A North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper Downloaded from https://journals.lww.com/jpgn by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3IJrtBKuSsQVsKRVaZGM1l4DvatJ7+0OA9ytY7fNKvII= on 05/26/2020 Downloaded from https://journals.lww.com/jpgn by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3IJrtBKuSsQVsKRVaZGM1l4DvatJ7+0OA9ytY7fNKvII= on 05/26 (...) /2020 Copyright © ESPGHAN and NASPGHAN. All rights reserved. Pediatric Endoscopy in the Era of Coronavirus Disease 2019: A North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper Catharine M. Walsh, y Douglas S. Fishman, and z Diana G. Lerner, NASPGHAN Endoscopy and Procedures Committee # ABSTRACT ThedeliveryofendoscopiccareischangingrapidlyintheeraofCoronavirus Disease 2019 (COVID-19). The North American Society for Pediatric Gastroenterology, Hepatology

2020 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

86. Infant feeding: weaning

boluses or overnight feeding) and offer foods at other times ( ). Liaise with your ward dietitian if feed volumes are reduced as intake of food increases ( ). Rationale Rationale 1: Breast milk and formula milk meet the nutritional requirements of most healthy babies for the first six months of life (W ). Rationale 2: Sick infants have different nutritional requirements to healthy babies. The dietitian will ensure the diet is nutritionally adequate and that appropriate solids are offered. Rationale 3 (...) : To ensure nutritional adequacy and that appropriate solids are offered. Rationale 4: The degree of prematurity will determine the appropriate age for introduction of solids. Rationale 5: To ensure the baby is comfortable and the stomach is not compressed. Rationale 6: The shallow bowl of a weaning spoon allows the baby to more easily take food from it. A metal spoon may harm the baby’s mouth. Rationale 7: To allow the baby to practice how to move a bolus of food around and to experience flavours

2017 Publication 1593

87. Thermoregulation for neonates

with caution. The purpose of this document is to provide guidance about the control of MRSA at Great Ormond Street Hospital (GOSH). Please note that this is a GOSH clinical guideline and may vary from other external hospital MRSA policies or guidelines. The purpose of this guideline is to provide guidance on the collection of microbiology and virology specimen at Great Ormond Street Hospital (GOSH). Parenteral nutrition (PN) is the administration of nutrition directly into the bloodstream. It is the method (...) of providing nutrition to children who have intestinal failure. Five per cent glucose solution is no longer commercially available. This guideline explains how a solution can be made up on the ward by adding dextrose monohydrate (eg Nutrivit glucose powder) to a 90ml bottle of sterile water. The purpose of this guideline is to provide guidance about intravenous and subcutaneous immunoglobulin infusions at Great Ormond Street Hospital (GOSH). Epidermolysis bullosa (EB) is a genetically determined skin

2014 Publication 1593

88. Replogle tube, care of

the skin care, and provide an appropriate alternative. Rationale 36: To encourage normal development. Rationale 37: To encourage non nutritive sucking. Rationale 38: To prevent misunderstandings. Rationale 39: To promote parental involvement. References Hollwarth M.E, Zaupa P. (2006) Oesophageal Atresia in : Puri P, Hollwarth M.E. (eds) Pediatric Surgery. Springer Surgery Atlas Series. Heidelberg, Springer. Hutson J.M, O Brian M, Woddward A.A, Beasley S.W. eds (2008) Jones’ Clinical Paediatric

2014 Publication 1593

89. Re-feeding

may have developed or other arrhythmia. Rationale 20: Management of patients at this level of illness are best managed in a medical ward setting. References Reference 1: Hudson L, O’Connor G (2015) The role of the paediatric medical team in Robinson PH, Nicholls D (2015) Critical Care for Anorexia Nervosa (The MARSIPAN Guidelines in Practice). Springer, London Reference 2: O’connor G, Nicholls D (2013) Refeeding hypophosphataemia in adolescents with Anorexia Nervosa: a systematic review. Nutrition (...) in clinical practice 28(3): 358-64 Reference 3: Junior MARSIPAN Guidelines (2012) Management of really sick inpatients with anorexia nervosa. CR 162. Royal College of Psychiatrists, London. Reference 4: Wagstaff G (2011) Dietetic practice in refeeding syndrome. Journal of human nutrition and dietetics 24(5): 505-15 Reference 5: The Scientific Advisory Committee on Nutrition (2011) Public Health England, London Appendices Appendix 1: Re-feeding guidelines flow chart Document control information Lead Author

2014 Publication 1593

90. Newborn blood spot screening

the sample (Rationale 31). Ensure comfort measures are used (Rationale 32). For example, breastfeeding, non-nutritive sucking (eg a 'dummy' or pacifier) or a sucrose solution (Rationale 33). Procedure Venepuncture or venous / arterial sampling from an existing line can be used to collect the blood spot sample onto the card. This is providing the sample is not contaminated with EDTA/heparin and the line is cleared of infusate. (Rationale 34) Do not use heparinised syringes or capillary tubes (Rationale 35

2012 Publication 1593

91. Neuromuscular disorders: prophylaxis and treatment guidelines for calcium and vitamin D for children and young people with neuromuscular disorders in the UK

to protect musculoskeletal health (see table 1 below). Table 1: Daily vitamin D requirements ( ): Age Vitamin D ug/day Months (all breastfed): RNI 0-3 8.5-10* (340-400IU) 4-6 8.5-10* (340-400IU) 7-10 8.5-10* (340-400IU) 10-12 8.5-10* (340-400IU) Years: RNI 1-3 10* (400IU) 4-6 10 (400IU) 7-10 10 (400IU) 11-14 (Boys) 11-14 (Girls) 10 (400IU) 10 (400IU) 15-18 (Boys) 15-18 (Girls) 10 (400IU) 10 (400IU) *safe intakes (SI) Note: 1 IU = 0.025 µg 1 µg = 40 IU Prophylactic dosage of vitamin D The nutritional (...) . London: British Medical Association and the Royal Pharmaceutical Society of Great Britain. No.64. September 2016/17. Department of Health (1998). Nutrition and bone health with particular reference to calcium and vitamin D: Report of the Subgroup on Bone Health (Working Group on the Nutritional Status of the Population) of the Committee on Medical Aspects of Food and Nutrition Policy. Report on health and social subjects 49. London, The Stationery Office. Department of Health (1991). 41 Dietary

2014 Publication 1593

92. Nebuliser administration

with caution. The purpose of this document is to provide guidance about the control of MRSA at Great Ormond Street Hospital (GOSH). Please note that this is a GOSH clinical guideline and may vary from other external hospital MRSA policies or guidelines. The purpose of this guideline is to provide guidance on the collection of microbiology and virology specimen at Great Ormond Street Hospital (GOSH). Parenteral nutrition (PN) is the administration of nutrition directly into the bloodstream. It is the method (...) of providing nutrition to children who have intestinal failure. Five per cent glucose solution is no longer commercially available. This guideline explains how a solution can be made up on the ward by adding dextrose monohydrate (eg Nutrivit glucose powder) to a 90ml bottle of sterile water. The purpose of this guideline is to provide guidance about intravenous and subcutaneous immunoglobulin infusions at Great Ormond Street Hospital (GOSH). Epidermolysis bullosa (EB) is a genetically determined skin

2013 Publication 1593

93. Nasogastric and orogastric tube management

based practice. Please use with caution. The purpose of this document is to provide guidance about the control of MRSA at Great Ormond Street Hospital (GOSH). Please note that this is a GOSH clinical guideline and may vary from other external hospital MRSA policies or guidelines. The purpose of this guideline is to provide guidance on the collection of microbiology and virology specimen at Great Ormond Street Hospital (GOSH). Parenteral nutrition (PN) is the administration of nutrition directly (...) into the bloodstream. It is the method of providing nutrition to children who have intestinal failure. Five per cent glucose solution is no longer commercially available. This guideline explains how a solution can be made up on the ward by adding dextrose monohydrate (eg Nutrivit glucose powder) to a 90ml bottle of sterile water. The purpose of this guideline is to provide guidance about intravenous and subcutaneous immunoglobulin infusions at Great Ormond Street Hospital (GOSH). Epidermolysis bullosa (EB

2014 Publication 1593

94. Nasojejunal (NJ) and orojejunal (OJ) management

of feed given may require review ( ). The tubes may need to be passed under radiological guidance and therefore the patient incur a radiation dose. However it is safer and less expensive than parenteral nutrition (PN) ( ). Inform the child and family Ensure that the child and family are informed of the following: the reason for the NJ/OJ tube what it will involve the likely duration of the tube's placement the potential difficulties of this feeding route and system the likely impact on the child (...) for the administration of medicines and if necessary syrups and suspensions should be avoided ( ). The NJ tube should be flushed with a turbulent flush before and after drug administration using 3-5ml of sterile water (1-2mls for neonates) ( ). An ANTT must be used ( ). Completing treatment When feeding using this method is no longer required, eg if it has been unsatisfactory or normal nutritional intake can be commenced, the tube can be removed by gently withdrawing the tube from the nostril using standard

2015 Publication 1593

95. Ketogenic diet

with caution. The purpose of this document is to provide guidance about the control of MRSA at Great Ormond Street Hospital (GOSH). Please note that this is a GOSH clinical guideline and may vary from other external hospital MRSA policies or guidelines. The purpose of this guideline is to provide guidance on the collection of microbiology and virology specimen at Great Ormond Street Hospital (GOSH). Parenteral nutrition (PN) is the administration of nutrition directly into the bloodstream. It is the method (...) of providing nutrition to children who have intestinal failure. Five per cent glucose solution is no longer commercially available. This guideline explains how a solution can be made up on the ward by adding dextrose monohydrate (eg Nutrivit glucose powder) to a 90ml bottle of sterile water. The purpose of this guideline is to provide guidance about intravenous and subcutaneous immunoglobulin infusions at Great Ormond Street Hospital (GOSH). Epidermolysis bullosa (EB) is a genetically determined skin

2015 Publication 1593

96. Mouth care

have reduced production of protective immunoglobulins in their saliva resulting in an increased risk of infection. Measles: The presence of Koplik spots (small white spots) in the mouth may indicate the early stages of measles. Fever: may lead to a dry mouth and coated tongue. Grinding of the teeth may result in loss of tooth surface. Thumb/finger sucking can alter the position of teeth. Poor nutritional intake: anorexia, dehydration, metabolic disorders (requiring high intake of oral carbohydrates

2014 Publication 1593

97. Intraosseous insertion

with caution. The purpose of this document is to provide guidance about the control of MRSA at Great Ormond Street Hospital (GOSH). Please note that this is a GOSH clinical guideline and may vary from other external hospital MRSA policies or guidelines. The purpose of this guideline is to provide guidance on the collection of microbiology and virology specimen at Great Ormond Street Hospital (GOSH). Parenteral nutrition (PN) is the administration of nutrition directly into the bloodstream. It is the method (...) of providing nutrition to children who have intestinal failure. Five per cent glucose solution is no longer commercially available. This guideline explains how a solution can be made up on the ward by adding dextrose monohydrate (eg Nutrivit glucose powder) to a 90ml bottle of sterile water. The purpose of this guideline is to provide guidance about intravenous and subcutaneous immunoglobulin infusions at Great Ormond Street Hospital (GOSH). Epidermolysis bullosa (EB) is a genetically determined skin

2015 Publication 1593

98. Liver biopsy

. Rationale 36: To prevent aspiration and vomiting. Rationale 37: To ensure adequate nutrition which will promote wound healing. Rationale 38: It is difficult to ensure that children remain on bed rest for this period. Creative thinking may need to be used, and the family and play specialist could be involved in keeping the child occupied while on bed rest. Rationale 39: To ensure they are not dehydrated and showing signs of postoperative urine retention. Rationale 40: To detect signs of postoperative

2014 Publication 1593

99. Hypertension Canada's 2016 Canadian Hypertension Education Program guidelines for pharmacists: an update

, Naugler C. Fasting time and lipid levels in a community-based population: a cross-sectional study. Arch Intern Med. 2012;172:1707-10. 38. Doran B, Guo Y, Xu J, et al. Prognostic value of fasting versus nonfasting low-density lipoprotein cholesterol levels on long-term mortality: insight from the National Health and Nutrition Examination Survey III (NHANES-III). Cir - culation 2014;130:546-53. 39. Langsted A, Freiberg JJ, Nordestgaard BG. Fasting and nonfasting lipid levels: influence of normal food

2016 CPG Infobase

100. End of life care for infants, children and young people with life-limiting conditions: planning and management

mean the place of care and place of death need to be changed. 1.3.52 If a child or young person is given enteral or intravenous fluids, review this decision regularly to make sure it continues to be in their best interests. Managing nutrition Managing nutrition 1.3.53 If a child or young person is approaching the end of life or is dying, discuss how to manage their nutritional needs with them and their parents or carers. 1.3.54 If a child or young person with a life-limiting condition is dying (...) , encourage and support them to eat if they want to and are able. 1.3.55 If a child or young person is dying and they are receiving enteral tube feeding or intravenous nutrition: discuss with them (as appropriate) and their parents or carers whether continuing this is in their best interest and and review this decision regularly. Recognising that a child or y Recognising that a child or young person is lik oung person is likely to die within hours or da ely to die within hours or days ys 1.3.56

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

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